Indiana
Professional Licensing Agency
Balamurali Venugopal Shanmugasundaram
Medical Residency Permit
License number
11015295A
Date granted
04/23/2010
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Expired
Address
Greenwood IN 46143
indianalicensing.org
ID 5981568
LAST UPDATED 2024-03-17 15:57:42 UTC
LAST UPDATED 2024-03-17 15:57:42 UTC
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